⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Leonard CooleyDNP, APNP, FNP-BC

Nurse Practitioner · Galloway, OH 43119

NPI: 1023574605

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,475

Total Claims

$646K

Drug Cost

365

Beneficiaries

$1,769

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-40%

Opioid rate vs peers

2.3% vs 3.8% avg

+51%

Cost per patient vs peers

$1,769 vs $1,174 avg

+22%

Brand preference vs peers

10.8% vs 8.9% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

2.3%

Opioid Rate

215

Opioid Claims

$2,813

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,013 claims · $499K

Generic: 8,371 claims · $141K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban150$90K
Dulaglutide39$43K
Rivaroxaban34$40K
Sitagliptin Phosphate29$21K
Empagliflozin21$19K
Fluticasone/Umeclidin/Vilanter19$16K
Mirabegron88$15K
Insulin Aspart14$13K
Insulin Glargine,hum.Rec.Anlog32$13K
Semaglutide12$12K
Umeclidinium Brm/Vilanterol Tr18$9,318
Insulin Glargine,hum.Rec.Anlog27$8,533
Potassium Chloride370$7,865
Budesonide/Formoterol Fumarate13$7,340
Fluticasone Propion/Salmeterol15$6,373

Prescribing Profile

137

Unique Drugs

$183K

IRA Negotiated Drugs

$55K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

69%

Female

2.69

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data